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Individual
IGNACIO GUADARRAMA
Active
Individual
IGNACIO GUADARRAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
833793
CA
363LF0000X
Family Nurse Practitioner
Primary
95003671
CA
Other
Enumeration date
04/04/2013
Last updated
03/27/2016
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